Douglas N. Jeske, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3087 TX Issued in WA

Practice address

6510 Capitol Blvd SE
Tumwater, WA 98501-5566

Phone

(360) 352-6060

Fax

(360) 357-7339

NPI assigned

Oct 6, 2005

Last updated

Sep 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tumwater Eye Center IncGroup PAC ID 5890830103, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tumwater Eye Center Inc

  • Optometrist
  • Tumwater, WA
  • NPI 1265769202
  Medicare reassignment Care Compare group NPD Authorized official
• Tumwater Eye Center Inc

  dba Vue

  • Optometrist
  • Tumwater, WA
  • NPI 1336463538
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1235127093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 CAPITOL BLVD SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985015566",
            "telephone_number": "360-352-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 CAPITOL BLVD SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985015566",
            "telephone_number": "360-352-6060",
            "fax_number": "360-357-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESKE",
        "first_name": "DOUGLAS",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3087 TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole L Jardine, LCSW
• Kirk Jarman, P.A.
• Angelina H. Jefferson
• Christopher Scott Jefferson, RN
• Jennifer Koch, Psy.D., PLLC (Bloom and Blossom Wellness Spa)
• Noelle Johnson-Oldham, LMT
• Annette Lee Johnson, RN
• Doran Johnson
• Haley Johnson
• Madison Johnson

• Optometrist in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.